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A 62-year-old right-hand dominant male went to the hospital with complaints of persistent headaches that were getting progressively worse, increasing left-sided weakness, and gait instability. Magnetic resonance imaging revealed a large enhancing mass within the right parietal lobe with extensive surrounding vasogenic edema. Differential diagnoses include a solitary metastasis or a primary central nervous system (CNS) neoplasm. The patient was admitted to the hospital and the tumor was grossly resected the next day. Relevant inpatient medications include dexamethasone, insulin, ondansetron, oxycodone, acetaminophen, bisacodyl, and senna-docusate. Physical therapy evaluation was ordered on the third postoperative day (POD 3). The patient is expected to be discharged home tomorrow. He is a retired schoolteacher and lives in a single-story house with his wife, who will be available as a full-time caregiver.

CRANIOTOMY: Most common surgical procedure to resect (remove) a brain tumor; part of the skull is removed to gain access to the brain; after brain tumor is biopsied and/or removed, bone flap is secured back in position

METASTASIS: Spread of cancer cells to one or more areas elsewhere in the body, usually by the lymph or vascular system